摘要
目的:探讨以聚四氟乙烯膨体为主体支架联合少量耳软骨在鼻综合整形的效果。方法:2021年9月至2022年12月,北京俪婴妇产医院和北京联合丽格第二医疗美容医院行鼻综合整形术患者56例,男2例、女54例,年龄18~45岁,平均28岁。鼻开放入路,膨体作为鼻背及鼻小柱支撑杆植入物,单侧耳甲艇软骨做为鼻尖修饰移植物。术后随访评估患者满意度及手术效果。结果:鼻整形术56例患者包括初鼻36例,硅胶隆鼻术后修复20例。55例患者伤口一期愈合,无并发症,随访平均6个月,效果满意。1例术后早期出现鼻黏膜破损,膨体支架部分外露,清创缝合后愈合。结论:初次鼻整形及简单修复鼻,以聚四氟乙烯膨体为主体支架联合少量耳软骨,具有取材少、手术快、创伤轻、效果稳定的特点。
Objective To explore the application of expanded polytetrafluoroethylene(ePTFE)as the main support combined with a small amount of ear cartilage in rhinoplasty.Methods Through a nasal opening approach,the ePTFE was used as a support implant for the nasal dorsum and columella,and unilateral concha cartilage was used as a nasal tip modification graft.Results This method was applied in 56 cases of rhinoplasty(36 cases of initial nose,20 cases of silicone augmentation rhinoplasty).The wounds of 55 patients healed at one stage without complications,with satisfactory results(average follow-up of 6 months).In one case,nasal mucosa was damaged early after surgery,and the ePTFE was partially exposed,which healed after debridement and suture.Conclusions For most primary rhinoplasty and simple repair of the nose,using ePTFE as the main support combined with a small amount of ear cartilage,has the advantages of fewer materials,rapid surgery,mild trauma,and stable postoperative results.
作者
杨振
王忠权
吴玉家
Yang Zhen;Wang Zhongquan;Wu Yujia(Aesthetic Medicine Department of Beijing Liying Maternity Hospital,Beijing 100020,China;Beijing Meidu Medical Outpatient Department,Beijing 100020,China;Beijing United Lige Second Aesthetic medicine Hospital,Beijing 100020,China)
出处
《中华医学美学美容杂志》
2023年第4期268-271,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
鼻
外科
整形
聚四氟乙烯膨体
耳软骨
Nose
Surgery,plastic
Polytetrafluoroethylene
Ear cartilage
